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Clinical Wrap Up

Exit forum ID Forum Discussion Clinical Wrap Up

This topic contains 2 replies, has 3 voices, and was last updated by   William Brady, DC December 2, 2019 at 8:58 am.

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    Adam Holen D.C.

      “Coffee is for closers” and I fancy myself some coffee, but I want to make sure I’m earning it.

      Just to be complete, let’s start with 2 min to test.
      Aside from collecting the data and interpreting it (% improved, symptom L/Q/S), what are your “go-to” phrases before starting the visit? Clinical pearls/education pieces to begin the encounter and transition to measuring their priority test.
      “Treatment is working”
      “That’s awesome progress.”
      “Your (body part) is getting healthier.”
      “Your (body part) can’t handle that much load yet” (flare-up case)
      “You can see how important it is to fix your adhesion.”

      Now for the piece I’ve come to respect a whole lot more: clinical wrap-up.
      What VALUE statements do you make during the “minute to close?” Obviously it’s important they know the changes in the test (degrees/%) and what that means, but HOW do you say that in a succinct manner? I’m trying to talk less, so what I do say carries more weight.
      These are the things I’ve been focusing on:
      – Adhesion status “Your adhesion is half the size now.” “The adhesion is almost gone.”
      – Brady Gems like Sx/Dys chart, Deg/Time, showing the map (flexibility, strength, longevity)
      – General Recap of the visit “We broke down a lot of adhesion which is making your (body part) healthier.” – “We are graduating to your next step which is awesome!”

      So, how do you communicate your value in these instances? What do you say so they not only know treatment is working, but they are making one of the best investments possible.

      Aaaaaand Go


      Seth Schultz, DC

        I think that is a great list so far. The more personal or important to the specific patient the better. Tie in some of the goals they may have talked about or something they’ve done without pain that they couldn’t do before. Like waking up without pain is a pretty big deal.


        William Brady, DC

          Great list. I’m glad you are constantly looking to improve.

          One the one minute to close for each visit I will (generally):

          1. Repeat the test improvements
          2. State that is great and due to the treatment reducing adhesion
          3. Say something positive (specifically or general)
          – This is exactly where I hoped we would be at this point
          – Remember when you couldn’t XYZ

          Have a template and work the template until it becomes a natural conversation. When this is done really well the patient is excited about the progress because they understand everything they need to understand.

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